Gupta, Sudhir K

Gupta, Sudhir K is an individual health care provider with primary practice located at 3208 Medical Park Drive , Shawnee OK 74804-1707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gupta, Sudhir K can be contacted via phone (405) 273-0406.

Contact Information

Primary practice address
3208 Medical Park Drive Shawnee OK 74804-1707
Phone: (405) 273-0406
Fax: (405) 273-1799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 15887 Oklahoma

Profile Details

NPI number 1437119286
LBN Legal business name Gupta, Sudhir K
Credentials M.D. F.A.C.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated May 27th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437119286 NPPES
Oklahoma MEDICAID 100748780A
Oklahoma MEDICAID 100257730A

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